Individual
MRS. LYDA RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1401 FORUM WAY, SUITE 300, WEST PALM BEACH, FL 33401
(561) 242-0505
(561) 242-9548
Mailing address
1401 FORUM WAY, SUITE 300, WEST PALM BEACH, FL 33401
(561) 242-0505
(561) 242-9548
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME53286
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
044296800
—
FL
Enumeration date
08/03/2005
Last updated
08/07/2019
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